可吸收棒治疗儿童肱骨内上髁骨折临床分析

Clinical efficacies of absorbable rod versus Kirschner wire for children humerus medial epicondyle fracture

目的综合比较分析可吸收棒与克氏针治疗儿童肱骨内上髁骨折临床效果。方法选取2011年01月至2013年12月本院收治并有完善临床资料的儿童肱骨内上髁骨折患儿46例,其中29例(A组)采用切开复位克氏针内固定治疗,17例(B组)采用切开复位可吸收棒内固定治疗。所有患儿均获得随访,平均12个月。根据Hardacre标准判断两种术式的临床疗效,并比较手术用时、住院费用及住院时间,综合分析两种手术方式的临床疗效。结果术后12个月,A组:优22例(75.86%)、良7例、差0例;B组:优15例(88.24%)、良2例、差0例。两组差异无统计学意义(P<0.05),两组患儿均未见迟发性尺神经炎、关节僵硬、骨化性肌炎、骨折不愈合。结论切开复位可吸收棒内固定治疗小儿肱骨内上髁骨折较克氏针固定方法,均可取得较满意的临床疗效,从手术时间、住院费用等方面来比较,两种术式亦无明显差异,但从住院时间上看,可吸收棒有着一定的术式优势。

Objetive To compare the clinical efficacies of absorbable rod versus Kirschner wire for chil-dren humerus medial epicondyle fracture.Methods From January 2011 to December 2013,46 children of hu-merus medial epicondyle fracture were selected for open reduction plus internal fixation with Kirschner wire （n=29,group A）and open reduction plus internal fixation with absorbable rod （n =17,group B）.The average follow -up period was 12 months.Clinical efficacy was judged by the Hardacre criteria.And the complica-tions,hospitalization duration and medical expenditure were compared for two groups. Results The curative outcomes were excellent （n =22,75.86%）,good （n =7）and poor （n =0）in group A and excellent （n =15,88.24%）,good （n =2）and poor （n =0）in group B.None of them had a late onset of ulnar neuritis, stiff joints,myositis ossificans or fracture healing.Conclusions Open reduction plus internal fixation with ab-sorbable rod is routinely performed for children humerus medial epicondyle fracture.Clinical efficacies may be obtained satisfactorily with comparable operative duration and medical expenditure for two operations.However, absorbable rod offers some advantage of shorter hospitalization length.